Composite orbital reconstruction using the vascularized segmentalized osteo-fascio-cutaneous fibula flap

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• 作者：T. Kalle Lundgren^a ; ; Marco Pignatti^b ; Martin Halle^a ; Giulia Boscaini^b ; Ann-Charlotte Docherty Skogh^a ; Chiarini Luigi^c ; Giorgio De Santis^b ; ^{desantis.giorgio@unimore.it" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Craniofacial surgery ; microsurgery ; Orbital reconstruction ; skull base reconstruction
• 刊名：Journal of Plastic, Reconstructive & Aesthetic Surgery
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：69
• 期：2
• 页码：255-261
• 全文大小：1489 K

文摘

Reconstruction of composite orbital defects must address the orbit and an exposed skull base and/or maxillary region. The orbit should not only be covered but also reshaped to accommodate the orbital contents or an epithesis when warranted. This study presents a rationale for a near-anatomical reconstruction of the orbit, together with adjacent dead space obliteration, using the segmentalized osteo-fascia-cutaneous fibula flap. Before the flap transfer, a cutting template for the fibula is made according to the measures and requirements of the facial defect. The segmentalized bone is then osteosynthesized to the facial skeleton and revascularized. Thus, an orbital depth is created by the bony fibula, whereas the fascio-cutaneous part of the flap may be used for lining the orbit and obliteration of the skull base or the maxillary region, or resurface the palate and/or the nasal cavity.